Individual
AMANDA NICOLE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4181 SW HIGH MEADOWS AVE, PALM CITY, FL 34990-3725
(772) 222-5560
(844) 652-8088
Mailing address
4274 SW KAZAN ST, PORT SAINT LUCIE, FL 34953-7247
(772) 812-5225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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